Individual
DR. WILLIAM J CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3712 SO CEDAR, TACOMA, WA 98409
(253) 475-8570
(253) 475-8577
Mailing address
3712 SO CEDAR, TACOMA, WA 98409
(253) 475-8570
(253) 475-8577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5012976
—
WA
Enumeration date
10/18/2006
Last updated
07/08/2007
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